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1780077685
ROGER LEON JORGENSEN
LONGMONT, CO
NPI
1780077685
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207W00000X Ophthalmology
(Licence: CO 15771)
Enumeration Date
2015-03-17
Last Update Date
2015-03-17
Business Address
-- ROGER LEON JORGENSEN M.D.
14222 N 95 SI
LONGMONT, CO 80504
Phone number: 303-682-0268
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Mailing Address
-- ROGER LEON JORGENSEN M.D.
14222 N 95 ST.
LONGMONT, CO 80504
Phone number: 303-682-0268
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